Organization
WELL ADJUSTED CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH IANACONE CHIROPRACTIC PHYSICI (OWNER)
(702) 735-7246
Entity
Organization
Contact information
Practice address
3315 W CRAIG RD STE 105, NORTH LAS VEGAS, NV 89032-5001
(702) 735-7246
(702) 489-7556
Mailing address
3315 W CRAIG RD STE 105, NORTH LAS VEGAS, NV 89032-5001
(702) 735-7246
(702) 489-7556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B01255
CHIROPRACTIC CERTIFICATE
NV
01
—
CM00109587
MALPRACTICE INSURANCE
NV
Enumeration date
10/11/2021
Last updated
10/11/2021
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